Individual
DR. RICHARD A LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D, D.M.D.
Contact information
Practice address
1305 POST RD, SUITE 302, FAIRFIELD, CT 06824-6016
(203) 259-4700
(203) 259-0328
Mailing address
1305 POST RD, SUITE 302, FAIRFIELD, CT 06824-6016
(203) 259-4700
(203) 259-0328
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
032601
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001326017
—
CT
01
—
010032601CT01
BLUE CROSS BLUE SHIELD
CT
01
—
0147826015
CIGNA
CT
01
—
2970623
AETNA
CT
01
—
2V2098
PHS
CT
01
—
532601
CONNECTICARE
CT
01
—
550789127
TAX ID
CT
01
—
P2711818
OXFORD
CT
Enumeration date
06/12/2006
Last updated
09/08/2015
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